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我国糖尿病教育者培训项目实施7年后的效果与变化 被引量:9

The situation of seven years after the implementation of diabetes educator training program in China
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摘要 目的:全面了解糖尿病教育者工作开展的情况和管理者的满意度。方法采用问卷调查的方法,对2008至2014年参加过强生糖尿病学院理论培训的教育者及其所在单位的管理者进行调查,学员填写“糖尿病教育者培训调查表”,管理者填写“糖尿病教育者培训后工作满意度调查表”。数据采用SPSS 17.0软件进行统计分析,组间比较计数资料采用χ^2检验,计量资料采用t检验。结果学员对2010年前后面授和实习课程的满意度无统计学差异,但实习课程的满意度有下降趋势。64.5%(89/138)的学员认为培训后整体能力明显提高。与2010年的结果相比,学员从事住院患者教育的时间由(23±16)h/月增加到(36±29)h/月(t=-2.334,P〈0.05),从事门诊患者教育的时间由(14±12)h/月增加到(32±26)h/月(t=-2.194,P〈0.029),工作内容除执行糖尿病教育工作流程和开展相关护士培训两项外,开展系统教育工作(80.8%比92.2%,χ^2=19.766,P〈0.001)、建立患者教育档案(54.6%比80.3%,χ^2=51.384,P〈0.001)和对教育效果进行评价(50.8%比88.9%,χ^2=107.729,P〈0.001)几方面有明显改善;教育工作面临的主要困难仍然是没有足够时间和精力教育(78.1%比50.9%,χ^2=60.365,P〈0.001)、没有专职岗位(72.3%比15.9%,χ^2=188.310,P〈0.001),但百分比有所下降。23.4%(123/525)的管理者对科研工作开展情况不太满意。结论糖尿病教育者的工作内容和教育时间较2010年均有所改善,日后应加强对实习基地的管理和考核,加快糖尿病教育者专职岗位的建设,加强科研培训,提高教育者综合素质。 Objective To investigate the comprehensivework of diabetes educators who had the certifications of Chinese Medical Association-Chinese Center for Disease Control-Johnson & Johnson Diabetes Institute(JJDI) and the satisfaction of manager. Method Cross-sectional investigating method was used in this study. Educators who had finished the training in JJDI from 2008 to 2014 and their managers were involved. The diabetes educators were required to fill in the questionnaire for diabetes educator and the managers were required to fill in the questionnaire for education leader on line. The data was analysis by SPSS 17.0. Data between groups were analyzedby chi-square test. Measurement data were analyzed by t test. Result The satisfaction for curriculum before and after 2010 hasn′t statistical differences, however the satisfaction of practice curriculumhas declined-trend.About 64.5% (89/138) students thought that their capacity was improved after training.Compared with the result of 2010, the time that the students spent to educate the inpatients with diabetes were increase form (23±16) hours per month to (36±29) hours per month (t=-2.334,P〈0.05), the time that they spent to educate the outpatient with diabetes were increase form (14± 12) hours per month to (32 ± 26) hours per month(t=-2.194,P〈0.029). Exceptimplement the education workflowand training the other nurses, the work that the systematic education(80.8%vs 92.2%,χ^2=19.766,P〈0.001), recording the education of patients (54.6% vs 80.3%,χ^2=51.384, P〈0.001) and evaluation the education(50.8% vs 88.9%, χ^2=107.729, P〈0.001) had improved obviously. The main difficulties between 2010 and 2014 were that they had no enough time to educate patients (78.1% vs 50.9%, χ^2=60.365, P〈0.001) and had no full-time diabetes educator in their department(72.3%vs15.9%,χ^2=188.310, P〈0.001). The percentage of above data in 2014 decreased compared with in 2010. For managers, 23.4%(123/525) of them were unsatisfied with the work of research carried by these educators. Conclusion The content and time spent on diabetes education were improved from 2010. In the future, we should manage and evaluate the practice bases, give the educator full-time education job,train on nursing research and improve the comprehensivequality of educators.
出处 《中华糖尿病杂志》 CAS CSCD 2015年第3期142-146,共5页 CHINESE JOURNAL OF DIABETES MELLITUS
关键词 糖尿病教育者 培训 Certified diabetes educator Train
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